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Ratcliff Counseling

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Self-Led Men's Group Therapy Interest Form

Complete the form and I'll respond promptly.

First name

Last name

Age

Email

Phone

Tell me a little about yourself (Goals for therapy; issues wanting to address: anger, communication, intimacy issues, addictions, pornography, grief, etc...)

Thanks for your feedback!

Self-Led Men's Group: Feedback Form

ratcliff.counseling@gmail.com

405-456-9110

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